Question

Requirement: Answer the following questions: 1. Using the acronym, "A.C.T.L.O.N," identify and explain the sequence the tool recommends you follow to address all medication problems? (6 marks) 2. For each situation below, answer the following questions: a. In your own words, explain the main problem/challenge faced in this situation. (2 marks for each situation) b. What section in the "Medication Problem A.C.T.I.O.N. Plan" resource would you turn to when addressing the situation? (1 mark for each situation) c. What action would you take to assist your client? Record your answer for part "" as if you are documenting in the client's record. (3 marks for each situation) . 9 Situations: Find the problem 1. Your client has Parkinson's disease. He tries to administer his own oral medication. His wife, who ing usually helps him, is often not home for his afternoon dose because your visit is her respite time. Your client is 84 and has rheumatoid arthritis. Each week the RN distributes her medication for each day in a docette. Today your client's joints seem very inflamed and she asks you to open her docette for her. According to the care plan for a new client, he is on an anti-inflammatory medication that has been prescribed to be taken bid. When you try to remind him to take his medication, he refuses, claiming he is fine. While reading the label on your client's medication, you notice that the strength of the medication is different from the care plan. Your client claims that his meds were changed over the weekend after visiting the medical clinic. ONACC 2017 V.4 Section IV. Module 10. Assisting with Medications 212

Answer 1

ACTION

The purpose of the tool is to guide when a medication related error or problem is identified where A stands for assess/ observe the situation,C for contact the supervisor, T stands for talk to family member if present,I means identify how you can help,O for open the chart and document and N for note to follow up.

In situation 1.
a. problem identified is that client needs more caregiver support with medication.

b. Section c will be referred i e barriers and other problems

c. Action in this case will be ASSESS/OBSERVE the situation Does the client have a reliable caregiver to help with medications? Was there a previous caregiver who is no longer involved? NO CONTACT supervisor and inform him/her that the client does not have a reliable caregiver to help with medications TALK to family member if present IDENTIFY how you can help OPEN the chart and document what you have done NOTE to follow-up next visit to see if client is still having problems

in situation 2

a. Problem identified is that client has difficulty taking or preparing medication as he has rheumatoid arthritis.

b. Section b will be referred that is physical and cognitive problems

c. ASSESS/OBSERVE the situation Is the client having difficulty with stiffness, painful hands, or shakiness? Is this difficulty related to clumsiness or weakness? Is there another problem that is preventing the client from opening his/her medication bottles? CONTACT supervisor and inform him/her that the client is having difficulty opening medication bottles TALK to family member if present IDENTIFY how you can help Follow agency policy on medication procedures OPEN the chart and document what you have done NOTE to follow-up next visit to see if client is still having problems

in situation 3

a. client is unwilling to take medication as prescribed

b. Section c barriers and other problems

c. ASSESS/OBSERVE the situation SECTION C Ask the client why he/she is not willing to take medication Why does the client feel this way? CONTACT supervisor and inform him/her that the client is unwilling to take medication TALK to family member if present IDENTIFY how you can help Follow agency policy on medication procedures OPEN the chart and document what you have done NOTE to follow-up next visit to see if client is still having problems Medication Problem

situation 4

a. Problem identified is change in client medication after a visit to doctor

b. Section e ie change in client medication will be referred

c. Action will be

Are you aware or have you been informed of any recent changes in the client s medication either after a visit to the doctor or discharge from the hospital? SECTION E NO ACTION Stop here CONTACT supervisor

Answer 2

ACTION The purpose of the tool is to guide when a medication related error or problem is identified where A stands for assess/ observe the situation,C for contact the supervisor, T stands for talk to family member if present,I means identify how you can help,O for open the chart and document and N for note to follow up. In situation 1. a. problem identified is that client needs more caregiver support with medication. b. Section c will be referred i e barriers and other problems c. Action in this case will be ASSESS/OBSERVE the situation Does the client have a reliable caregiver to help with medications? Was there a previous caregiver who is no longer involved? NO CONTACT supervisor and inform him/her that the client does not have a reliable caregiver to help with medications TALK to family member if present IDENTIFY how you can help OPEN the chart and document what you have done NOTE to follow-up next visit to see if client is still having problems in situation 2 a. Problem identified is that client has difficulty taking or preparing medication as he has rheumatoid arthritis. b. Section b will be referred that is physical and cognitive problems c. ASSESS/OBSERVE the situation Is the client having difficulty with stiffness, painful hands, or shakiness? Is this difficulty related to clumsiness or weakness? Is there another problem that is preventing the client from opening his/her medication bottles? CONTACT supervisor and inform him/her that the client is having difficulty opening medication bottles TALK to family member if present IDENTIFY how you can help Follow agency policy on medication procedures OPEN the chart and document what you have done NOTE to follow-up next visit to see if client is still having problems in situation 3 a. client is unwilling to take medication as prescribed b. Section c barriers and other problems c. ASSESS/OBSERVE the situation SECTION C Ask the client why he/she is not willing to take medication Why does the client feel this way? CONTACT supervisor and inform him/her that the client is unwilling to take medication TALK to family member if present IDENTIFY how you can help Follow agency policy on medication procedures OPEN the chart and document what you have done NOTE to follow-up next visit to see if client is still having problems Medication Problem situation 4 a. Problem identified is change in client medication after a visit to doctor b. Section e ie change in client medication will be referred c. Action will be Are you aware or have you been informed of any recent changes in the client s medication either after a visit to the doctor or discharge from the hospital? SECTION E NO ACTION Stop here CONTACT supervisor